April 13, 2021
Americas
Publication
Engaging and empowering people and communities,
Strengthening governance and accountability,
Reorienting the model of care,
Coordinating services within and across sectors,
Creating an enabling environment
The Seniors' Community Hub: An Integrated Model of Care for the Identification and Management of Frailty in Primary Care
Integrated models of primary care deliver the comprehensive and preventative approach needed to identify and manage frailty in older people. Seniors' Community Hub (SCH) was developed to deliver person-centered, evidence-informed, coordinated, and integrated care services to older community dwelling adults living with frailty. This paper aims to describe the SCH model, and to present patient-oriented results of the pilot.